With the healthcare industry transitioning from volume- to value-based care, organizations need transaction-based tools that provide the necessary insights to make better decisions and improve care quality, utilization and financial performance. Inovalon’s solution provides patient-specific analytics with actionable insights that can be ordered on demand, anywhere, anytime, empowered by the following key components:

Large Datasets: Inovalon harnesses the power of its proprietary dataset informed by clinical data pertaining to more than 243 million patients and 38 billion medical events.

On-Demand Access: Authorized users, such as physicians, administrators, health services personnel and patients can order diagnostics on demand, as needed.

Flexible Interface: Inovalon’s platform provides a flexible integration channel to provide a multitude of end points. Structured data streams, such as HL7 and CCD, that can be adapted to the unique needs of organizations.

Benefits

Improved Clinical & Quality Outcomes: Achieve higher quality, leading to increased incentive benefits (e.g., the achievement of 4-Stars within Medicare Advantage results in up to $600 PMPY1 in financial benefit).

Data Diagnostics® is transformative, bringing the benefits of big data, and real time speeds to the point of care - delivering valuable insights precisely when and where clinicians need them. Leveraging two of the world's largest datasets of clinical, claims, quality and laboratory data, including Quest's 20 billion clinical laboratory test results and Inovalon's clinical datasets of more than 243 million patients, with Inovalon's advanced analytical breadth and speed, Data Diagnostics® is seamlessly integrated within Quest's more than 200,000 Quest Care360® installations and more than 400 electronic health record (EHR) platforms, serving half of the physicians and hospitals in the United States. This solution enables clinicians to order and access high-value analytical reports within their existing clinical workflow, receiving results in seconds, a functionality that is integral to bringing the power of big data to the point of care in real time.

Waste Avoidance-Related Data Diagnostics® allows clinicians to gain on-demand insight into factors impacting care costs, such as medication prescription formulary alternatives, back imaging, head imaging, and acute care utilization. The results of Waste Avoidance-Related Data Diagnostics® provides insight into the how unnecessary duplication of tests can be avoided, less expensive formulary alternatives can be identified, and high-cost patient behaviors can be addressed.

Healthcare organizations participating with the Data Diagnostics® platform can request custom analytics to be developed for clinicians to order on demand; receiving responses back in real time directly within their existing clinical workflow. Examples would include analysis to provide insight into custom formulary optimization, custom quality and care measures, custom state-specific or organization-specific pay-for-performance (P4P) measurements, custom pre-approval or screening criteria, custom patient eligibility indicators for specific support programs such as diabetes support or asthma support programs, and many other examples.